Case Report: Treatment of Delusions of Theft Based on the Assessment of Photos of Patients' Homes

Ishimaru, Daiki; Kanemoto, Hideki; Hotta, Maki; Nagata, Yuma; Satake, Yuto; Taomoto, Daiki; Ikeda, Manabu

doi:10.3389/fpsyt.2022.825710

Cited by 2 publications

(2 citation statements)

References 18 publications

(18 reference statements)

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“…The effect size of antipsychotic medications for all psychotic symptoms in AD is small, and there is evidence that the efficacy is lower for hallucinations than other psychotic symptoms such as agitation and delusions (34-36). Nonpharmacologic interventions for hallucinations and other psychotic symptoms associated with dementia are indicated (37), and individualized nonpharmacologic treatments for these symptoms are currently under development (38).…”

Section: Discussionmentioning

confidence: 99%

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Signs and symptoms associated with a need for supervision in patients with Alzheimer’s disease

Huey

Kociolek

Fernandez

et al. 2022

Preprint

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Caregivers identify the need for continuous supervision of Alzheimer’s disease patients while awake as a “milestone” functional change that has a profound impact on the lives of the caregiver and patient. The specific predictors of this important functional change are not known. We determined specific cognitive, neuropsychiatric, and motor symptoms associated with Alzheimer’s disease patients needing supervision while awake in a longitudinal, ethnically diverse cohort of Alzheimer’s disease patients in Northern Manhattan. At the initial visit, neuropsychiatric and behavioral symptoms, including more hallucinations (OR=3.12) and lower elation (OR=0.13) were associated with the need for supervision while awake, as were poor memory (OR=0.89) and higher letter fluency (OR=1.33) abilities. The findings presented in the current study can aid clinicians and caregivers in prognosis and planning, suggest symptoms to target with non-pharmacological and pharmacological treatments to forestall this important functional “milestone”, and suggest priorities for future research.Significance StatementNeed for supervision while awake is identified by caregivers of AD patients as a “milestone” symptom that greatly changes caregiving needs and quality of lifeSpecific neuropsychiatric and cognitive symptoms, including hallucinations, elation, and memory and executive dysfunction, are associated with a significantly increased or decreased need for supervision while awakeThese patient-centered findings aid prognosis and planning, and indicate symptoms to prioritize for treatment and future research to improve AD patient functioning

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Section: Discussionmentioning

confidence: 99%

“…Nonpharmacologic interventions for hallucinations and other psychotic symptoms associated with dementia are indicated (37), and individualized nonpharmacologic treatments for these symptoms are currently under development (38).…”

Section: Discussionmentioning

confidence: 99%

Signs and symptoms associated with a need for supervision in patients with Alzheimer’s disease

Huey

Kociolek

Fernandez

et al. 2022

Preprint

View full text Add to dashboard Cite

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Case report: Environmental adjustment for visual hallucinations in dementia with Lewy bodies based on photo assessment of the living environment

Ishimaru,

Kanemoto,

Hotta

et al. 2024

Front. Psychiatry

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BackgroundVisual hallucinations (VH) are associated with visual prediction error in patients with dementia with Lewy bodies (DLB). Given this relationship, environmental adjustments have been suggested, but detailed contents for implementing such environmental adjustments and assessments are poorly documented. This case report preliminarily demonstrates methods for improving VH through our experience with two patients with DLB. We conducted familial interviews to assess the phenomenological features of VH and reviewed photographs of patients’ homes to identify the environmental triggers of VH, known as photo assessment of the living environment (PA-LE).Case descriptionPatient 1 was a 78-year-old woman with a Mini-Mental State Examination (MMSE) score of 11/30. She experienced seeing a stranger, children, and cats at home, which frightened her. VH frequently occurred in the living room and bedroom. The PA-LE showed that several environmental features, such as cushions on a sofa, the pattern on a carpet under a table, and clothing on hangers, were suggestive triggers of VH. Patient 2 was an 88-year-old woman with a MMSE score of 5/30. She had seen strangers, children, and animals at home, some of which were linked to a theft delusion. VH frequently occurred in the living room and bedroom. The PA-LE found that several environmental features, such as clothing on hangers and dolls, were suggestive of VH triggers. Non-pharmacological approaches were tailored to the patients’ environmental and psychological states using interviews and PA-LE. This included removing environmental triggers, reducing negative mood, and providing coping strategies for VH. This improved their VH and their caregivers’ knowledge of VH.ConclusionPhenomenological assessments using photographs of the patient’s home could identify the environmental triggers associated with VH in patients with DLB and assist in environmental adjustments.

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Case Report: Treatment of Delusions of Theft Based on the Assessment of Photos of Patients' Homes

Cited by 2 publications

References 18 publications

Signs and symptoms associated with a need for supervision in patients with Alzheimer’s disease

Signs and symptoms associated with a need for supervision in patients with Alzheimer’s disease

Case report: Environmental adjustment for visual hallucinations in dementia with Lewy bodies based on photo assessment of the living environment

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